HomeMy WebLinkAboutPemberton, Dorothy - 460 (09-24-23 thru 10-21-23)_RedactedRecipient Committee
Campaign Statement
Cover Page
Pate Stamp
i
COVER PAGE'
Statement covers period Date of election if applicable; Page _ of d`
(Month„ Day, rear) r, For Official Use Orrlyr
from= Q s
SEE INSTRUCTIONS ON REVERSE
through
1. Type of Recipient Committee: All Committees- CompleU Parts 1„2. 3, and 4. 2. Type of Statement:
Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement � � �+ .-�
State Candidate Election Committee Committee Berm -annual Statement [7 5peclal Qdd-Year 12eport
Recall Controlled Termination Statement
lion m efoPatt5) Sponsored (Also file a Form 410 Termination)
)AirsaCatroereFad, 5,11 Amendment (Explain below)
General Purpose Committee
Sponsored Primarily Formed Candidates
Small Contributor Committee Officeholder; Committee
Political Party/Central Committee IA'soC.mpxgM Parr71
. Committee information Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
D6a)-ti Fel-,ry�bcdon,-�r /no h 1 &A-�
MTY STATE MP COD
STATE ZIP CODE ' ' } ' NAIv1E OF ,ASSIS ANT TREASURER, I ANY
' f
MAILING ADDRESS (IF DIFFERENT) NO, AND, 'TREET OR R— eCAX
CITY STATE ZIP CODE AREACODEIPHON@
OPTIONAL: FAX 1E-MAIL ADDRESS OPTIONAL FAX/ E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of m knowled e the information contained herein and in the attached sohadules is true and Complete. I
certify under penalty of perjury under the laws of the State of California that the foregoin
Executed on & Dat C2 � Ole� By
Exeutd an Cate I I^era 'pansas
Executers on By
Date nr
Executed on By
Date S�rrakure rP Controlling Otiir.o>'alder; C:arKRivia€e Stale Measure Frcappn€rsn9
F PC form 460 (Ian/2016))
FPPC advice. advice@fppc,ca ov (866/27S-3772)
0 1 a 0 11 It I *
Uwat-11WItla Fl�
gia
L*0MjUg=:FrjtW.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CAPDATE
--
,D 6 ro --f 6mber �riy)
OFRCE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
o tu n tv C4wn e-4 — A-s�76c-L 2
I
61A 9014LI-11
Related Committees Not Included in this Statement: Listany committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behadot your candidacy.
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF TREASURER
CONTROLLER COMMITTEE?
[I YES [I NO
CITY STATE ZIP CODE AREA CODEtPHONF
COVER PAGE - PART 2
I&
Page . - of
. 1110011!!11111-1,11111 911111:11111111111111l F7 -111r 11
1111111Ell! W, d IS: I- it T .1 ir 01
BALLOT NO, OR LETTER I JURISDICTION
Identft the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
MINPARNW-11,4911 MMON.
DI$TRfCT NO, IFANY
riluff 5filawpWiffoTUffrim
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
El OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
I OPPOSE
Attach continuation shoots ff necessary
FPPC Form 460 (Jan/2016)
FPPC Advice. advice@fppc,ca.gov (866/275-3772)
www.fppc,ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars. Statement
�covers period
ta
from ` - ,i r
through f 0 ' d A-3
Page -? of /Q
NAME OF FILER I.D. NUMBER
bof-o+h�1 4rnbeen A r 6owney et 4y dun c r l ZvZ3 1145 1
Contributions Received
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
3 -15-0r 60
1. Monetary Contributions ....................
Schedule A, Line 3
$
`Y' o J
2. Loans Received. ........ ...............................................
Schedule B, Line 3
i I) ,
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
(, 0
$ 7� 7���
4. Nonmonetary Contributions ............................................
schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED.. ..................
........... Add Lines 3 + 4
$ I/'���
Expenditures Made
6. Payments Made................................................................
schedule E, Line 4
�i ? 06
$ M, -2 3,
7. Loans Made.......................................................................
Schedule H, Line 3
0
8. SUBTOTAL CASH PAYMENTS .......................................
AddLines6+7
$ 050160
9. Accrued Expenses (Unpaid Bills) . ........... ...........
--- ............. Schedule F Line 3
D
10. Nonmonetary Adjustment ................. ............................
11. TOTAL EXPENDITURES MADE ............. ....................
--- ...... Schedule C, Line 3
... Add Lines s+9+10
$ l �i. 3L�3 , cad
Current Cash Statement 0
12. Beginning Cash Balance... ......................... Previous Summary Page, Line 16 $ U; 1?16
-f
13. Cash Receipts........................................................... Column A, Line 3 above 7, 16-0,p0
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 V
15. Cash Payments......................................................... Column A, Line 8 above /ao 3 5'6, o
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $%/ °Z'' eld
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED... .... — ...................... Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above
Column B
CALENDAR YEAR
TOTAL TO DATE
$ oil&54,"
6)
60
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1i1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21 Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A
SEE INSTRUCTIONS ON REVERSE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IIF COMMITTrE, ALSO LN-FER LD, NUMBER)
I e e ri CJ Ale,/' /
12
E
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, EWER NAME
Of BUSINE88)
IND
■ COM
OTH
PTY
SCC
ZIND
P.
D com
El OTH
PTY
SCC
XIND
El com
El OTH
EJ FTY
El SCC
red
§16119NEWIMM
Statement covers period
CALIFORNIA
from .29 . -.Z3 FORM
through _A2 Page of
W. NUMBER
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAW I - DEC, 31) (IF REQUIRED)
100
0 OIL
Schedule A Summary *Contributor Codes
1. Amount received this period — itemized monetary contributions. INCH- Individual
()nclude all Schedule A subtotals.) .......................... ........ ...... .................................. $ COM - Recipient Committee
(other than PTY or SCC)
OTH -Other (e,g., business entity)
2. Amount received this period — unitemized monetary contributions of less than $100 .... ................ - .... $ FATS'-. Political Party
$CC - Small Contributor Committee
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1,) ... ...... JOTAL $ 3F 1501 FPPC Form 460 (Jan/2016))
FPPC Advice. advice@fppc.ca.gov (M/275-3772)
www.fppc.c.a.gov
A =a- �sMJIMF 16-1102TW711 !is
M
DATE
RECEIVED
� 0'7' 2
LIJj
Amounts may be rounded
to whole dollars.
Statement covers period
frOtt .2J
FALL NAME, STREETADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CONTRIBUIOR
sr
OCCUPA71ON AND EMPLOYER
(IP2 SELF-eMPLOYFO, ENTER NAME)
RECEIVED THIS
ff COMMITTEE, ALSO ENTER LD, NUMBER)
OF BUSINESS)
PERIOD
. .......... ... .... .... ...... ............. .. .. . .. . .. . . . .......
A
El COM
OTH
PTY
SCC
IND
El COM
OTH
P'ry
El SCC
I 11211
OIND
El COM
El OTH
El PTY
SCC
SUBTOTAL$
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e,g,, business entity)
PTY - Polftical Party
SCC -Small Contributor Committee
q 4110
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(dAN, I - DEC� 31) (IF REQUIRED)
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Statement covers period CALIFORNIA
460ft,
from A —2 FORM
through
FULL NAME, STREET ADDRESS AND ZIP CODE OF
�I(FNVIDUAL,ENTMULTIVE
O
CUPATION AND EMPLOYER
(WSELF-EMP10YED, EWER NAME)
RECEIVEDTHIS CALENDAR YEAIII
R TO DATE
OF COMMITTEE, ALSO ENTER W. NUMBER)
OF S=NrSS)
PERIOD (JAN. I - DEC. 31) (IF REQUIRED)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
El IND
0 Com
KOTH
EJ PTY
INN
Coo
PTY
SCC
El IND
Com
0 'I'H
F-1 PTY
0 SCC
DIND
com
OTH
PTY
D SCC
I
*Contdbutor Codes
INN — Individual
COO — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — SmaH Contributor Committee
SUBTOTAL$ <5W,
FPPC Form 460 (Ian /2016))
FPPIC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov
9-9x
SEE INSTRUCTIONS ON REVERSE
Statement covers period
CALIFORNIA
from FORM
through 167-;),1- 0
LD, NUMBER
NAME OF FILER
916
NOR, I 9-9m
FULL NAME, STREETADDRESS AND ZIP CODE
OF LEND�R
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
(b)
AMOUNT AMOUNT PAID
RECEIVED THIS; OR FORGIVEN
OUTSTANDING
BALANCE AT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
ff SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
PERIOD THIS PERIOD-
CLOSE OF 11115
PERIOD
co try
-a
PAID
gW
Pe4k
—0
F-1 FORGIVEN
(MA 0,
tF1 IND 11 GQM�F] OTH El PTY [01 SCC
DATE DUE
tEl IND [3 COM Ll OTH U PT'Y El SOC
t El IND [3 COM [I OTH Dh PTY El SCC
I
1' $
RATE
PER ELECTIOIr
a:va
_30_
DATE INCURRED
PAID
RATE
Ll FORGIVEN PER ELECTION-
$
$ DATE DUE DATE INCURRED
El PAID CALENDAR YEAR
$
RATE
El FORGIVEN PER ELECTION"
DATE DUE DATE INCURRED
SUBTOTAL$ $ $ $
Schedule B Summary
1. Loans received this period ........................................ ...... ____ ................. .,....,..........$
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period .................... ....... ................... .........
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.) $ 60
3. Net change this period. (Subtract Line 2 from Line 1 ....... .... ___ .... .................... ____ ... NET
Enter the net here and on the Summary Page, Column A, Line 2.
(May ba'a nogafiva wmbor)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required,
on
tContributci Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SC,C)
OTH — Other (e.g., business entity)
PTY -- Political Party
SCC — Small Contributor Committee
FPPC Forrin 460 (Jan/2016))
FPPC Advice: advice@fppr..ca.gov (866/275-3772)
www,fppc.ca.gov
Schedule E Amounts may be rounded
Payments Made to whole dollars.
ON REVERSE
periodStatement covers o
through _ �' °� 1 Page " . of '
NAME OF, FILER.
ore 'r
�,r�. rwumotm
-4" 1
CODES:: If one of the foliowling codes accurately describes the payment„ you may enter the code. Otherwise,
describe the. payment.
CMP
campaign parpphernalialmisc.
]b+BR member communications
R,AD
radio airtime and production costs
CNS
campaign consultants
MTG meetings and appearances
RFD
returned contributions
CTS
contribution (explain nonmonetary)"
OFC office expenses
SAL
campaign coworkers' salaries
CVC
civic donations
PET petition circulating
TEL
t,v. of cable airtime and production costs
FIL
candidate filing/ballot fees
PHO phone banks
T tC
candidate travel, lodging, and meals
FND
fundraising events
POL polling and survey research
TRS
staffispouse travel, lodging, and meals
IND
independent expenditure support! nglop posing ethers (explain)*
POS postage, delivery and messenger services
T F
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings.
PR7 print ads
WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE'
(IF COMMITTEE, ALSO ENTER W, NUMBER)
V
CODE OR DESCRIPTION OF PAYMENT
t-htaG d-AX
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)... .........
`. Uniterni.zed payments made this period of tinder 1 C7il,,.....,, ......... ........., .... .
. Total interest paid this period on leans. (Enter amount from Schedule B„ Part 1, Column (e).)............ ..,....,. ............................. .m.,...
4. Total payments made this period, (Add Lines 1, 2, and 3. Enter here and on the Summary Pa, Column A, Line .)........................... '[°4TiPrl..
FPPC Form 4 (jan/2016))`
FPPCAdvice.. advice fppc,c , ov (866/275-3772);
www.fppcica.gov
SCHEDULE E ( 0
Schedule E Amounts may be rounded C
(Continuation Sheet) to whole dollars. statement covers period CALIFORNIA
461
Payments Made FORM
SEE INSTRUCTIONS ON REVERSE through J0 of
aj 7 1
0 1 IRMA
CODE OR DESCRIPTION OF PAYMENT
r
Y"/W, �/,
M
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
V
Ph o J-j r4 p y
S
FPPC Advice: ad
M
Schedule E
Amounts may be rounded
CHEDULE ( ONT)
SCHEDULE
Sheen
to whole dollars.
I
1at�rr�nf covers period(Continuation CALIFORNIA ,J 6 1>
Payments ode
O RM
from
C
through. + � `
A
SEE INSTRUCTIONS ON REVERSE
Page of
talE OF FILER
I.D. NUMBER
CODES: If one of the following cedes accurately describes the payment you may enter the code. Otherwise, describe the payment.
P campaign paraphernaliafmisc.
MBR member communications
RAD radio airtime and production casts
CNS campaign consultants
MTG meetings and appearances
€ FD returned contribattiens
TE contribution (explain nonmonetary)*
+AFC office expenses
SAL campaign workers'salarles
CVC civic donations
PET petition circulating
TEL t.v.. or cable airtime and production costs
FtL candidate filing/ballot fees
PHO phone banks
TRG candidate travel, lodging, and meals
FND fundraising events
POL polling and survey research,
TRS stafflspouse travel, lodging, and meals
lND independent expenditure supporting#opposing others (explain)*
PGS postage, delivery and messenger services T F transfer between committees of the same candidate/sponsor
LEG legal defense
PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings
PRT print ads
WEB Information technology costs (internet, e-mail)
NAME ANDADDREa OF PAYE
ff COMMITTEE ALSO ENTER 1.10, NUMBER)
CODE OR
DESCRIPTION OF PAYMENT AMOUNT PAID
L 6•"}y
er 41)4 r1616)00
r
Downey, CA 90;L3Y
P C
le -ell
Is
*C1MrDe_k
l+
Fe e-T
: et
Payments that are contributions or independent expenditures must also be summarized on 'Schedule G.
SUBTOTAL. $ �CO
m� w. FPPC Foryn 46 (l�rri 2U16)�
FPPC Advice advke fppc.r . vv (866/ 7S-37x2)'
www.fppr—ca.gov